NPI 1063702223

Kasandra Rae Dassoulas

Practitioner Plastic Surgery Physician Kensington, MD

Practice location

Address: 10810 Connecticut Ave, Kensington, MD 20895-2138
Phone: (434) 326-7386

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence D83761 (MD)

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Registry record

NPI: 1063702223
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Apr 2011
Record last updated: 21 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.